IMDAD ULLAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151073

License Status

ACTIVE

Business

Title

First Name

IMDAD

Last Name

ULLAH

Business Name

IMDAD ULLAH MD

Original Issue Date

10/24/2019

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2023